How do I submit an authorization for WellCare?
Submit an Authorization
- Urgent authorizations: Call 1-800-424-5412.
- Inpatient authorization: Fax request to 1-888-361-6574.
- Outpatient authorization: Fax request to 1-888-871-0590.
How do I become a Medicaid provider in Kentucky?
Enrolling New Kentucky Medicaid Providers
- Review the provider type summary for your provider type to understand the documentation required to enroll.
- Review the training resources to help navigate the KY MPPA.
- Download multifactor authentication software.
- Create an account and start an application on the KY MPPA.
Is WellCare a form of Medicare?
Wellcare offers several kinds of Medicare Advantage plans, and they vary in structure, costs and benefits. In general, Wellcare offers Medicare Advantage Prescription Drug Plans, or MAPDs, as well as stand-alone Prescription Drug Plans and Medicare Advantage Plans without drug coverage.
Is WellCare of Kentucky Medicaid?
Overview & Resources. Thank you for your interest in our Medicaid plans. WellCare of Kentucky understands that maintaining a healthy community starts with providing care to those who need it most.
How long does a prior authorization take with WellCare?
If so, we’ll take up to 14 more business days….Prior Authorization “How To”
| Type of Request | Decision Time Frame | Who Can Request One |
|---|---|---|
| Standard* (for non-emergency care) | Within 14 calendar days | Your provider |
| Expedited/Fast** (for urgent care) | Within 72 hours | Your provider |
Does Staywell require prior authorization?
Staywell is excited to announce some important Medicaid outpatient prior authorization requirement changes. We are reducing the amount of Medicaid services/procedures requiring prior authorization for Behavioral Health services. Prior authorization requirements are subject to periodic changes.
What is a map 811?
811 is the national call-before-you-dig phone number. Anyone who plans to dig should call 811 or go to their state 811 center’s website before digging to request that the approximate location of buried utilities be marked with paint or flags so that you don’t unintentionally dig into an underground utility line.
What is WellCare of Georgia?
Overview & Resources. WellCare of Georgia partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most.
What is the difference between Wellcare and Medicare?
Wellcare offers plans with more coverage than Original Medicare, but without the cost of a Medicare Supplement plan. Our plans also include an extensive network of quality health care providers and some of our plans include prescription drug coverage. More benefits than Original Medicare.
Who owns Wellcare Medicare?
Centene Corporation
Wellcare operates in 20 states and was recognized by Fortune magazine as One of the World’s Most Admired Companies in January 2018. In January 2020, Wellcare was acquired by Centene Corporation. UnitedHealth Group was founded in 1977 by Richard Burke and went public in 1984.
Is WellCare Medicare or Medicaid?
Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal.
How do I contact Kentucky WellCare?
We’re here for you! Call us at 1-877-389-9457 (TTY 1-877-247-6272).
How do I enroll as a Kentucky participating provider?
Please note: To become enrolled as a Kentucky Participating Provider you must obtain a Kentucky Medicaid ID Number prior to or when completing this form. Please visit Kentucky’s Cabinet for Health and Family Services to complete the enrollment form.
What is a Kentucky medically frail provider attestation?
This Attestation is to be completed by an enrolled Medicaid Provider whose scope of expertise qualifies them to assess the Member for “medical frailty”. This Guide is a reference to Medicaid Providers and Clinicians as they complete the “Kentucky Medically Frail Provider Attestation” form for determination of possible medically frail members.
What is the EPSDT well child exam form used for?
The EPSDT Well Child Exam form is intended for providers to utilize when performing a complete well child exam. Use this form to request a PCP change for a member. Complete this form to submit an appeal.